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31 Cards in this Set
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- 3rd side (hint)
Solumedrol |
125 mg 2mg/kg pedi aka methylprednisone (corticosteroid) used for severe asthma and anaphylaxis |
steroid |
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methylprednisone |
125-250mg 2mg/kg pedi max 60mg aka solumedrol corticosteroid severe asthma / anaphylaxis |
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mag sulfate |
Smooth muscle relaxer Torsades de Points 2g/100mL/10min pedi 25-50mg/kg IV/IO bolus max 2g rapid if pulseless or over 10-20min status asthmaticus slow infusion over 15-30 min Eclampsia 4g/100mL/4min Electrolyte Physiological calcium channel blocker decrease muscle cell activity dilates vascular smooth muscle |
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Glucagon |
hypoglycemia 1 mg IM when IV can't be established 3mg Beta - blocker OD 0.3mg/kg pedi |
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Albuterol |
2.5 mg tubule up to 7.5mg asthma, anaphylaxis 10 mg hyperkalemia Beta 2 mimetic agonist 0.15 mg/kg pedi max 5mg |
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Amiodarone |
300 mg rapid Vf/pulseless VT 150 mg over 10 min VT with pulse antiarrythmic Class III: increase action potential between nodes, Sodium channel blocker effects: Beta-blocker-like, Potassium-channel-blocker-like, increases Calcium permeability but also blocks Ca channels at nodes |
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Adenosine |
6mg, 12mg rapid IVP followed by 10 cc NS flush antiarrhythmic, blocks potassium channel SVT contra: A-fib, TDP Adenocard |
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Calcium Chloride |
1 gram over 5-10 min 4-20mg/kg pedi 10% 20mg/kg during CPR Electrolyte, Membrane stabilizer Positive inotrope increase force of contraction Hyperkalemia, Calcium channel blocker OD, Mag Sulfate OD Hypermagnesemia, Hypocalcemia Contra: Digitalis, vfib during CPR For hyperkalemia, the influx of calcium helps restore the normal gradient between threshold potential and resting membrane potential. Calcium chloride increases the force of myocardial contraction; calcium may either increase or decrease systemic vascular resistance. In normal hearts, calcium's positive inotropic and vaso-constricting effects produce a predictable rise in systemic areterial pressure. |
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Hyperkalemia |
wide qrs, no p wave, peaked t waves, sine or Z wave appearance calcium chloride Albuterol, CaCl, Sodium Bicarb, Terbutaline |
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Levophed |
Norepinephrine 2-10mcg/min |
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Sodium Bicarb |
1mEq/kg Acidosis, Tricyclic OD, Hyperkalemia Electrolyte |
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Naloxone |
Narcan 0.4-2mg 0.1mg/kg pedi Opioid receptor antagonist |
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Midazolam |
Versed 2mg IV slow SZ 10mg IM 5mg IV q 10 min 0.2 mg/kg IM 0.1mg/kg pedi 0.1-0.2 mg/kg IM pedi max 10 mg Status |
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Versed |
Midazolam 10mg IM Sz 2mg IV slow ANX |
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Diazepam |
Valium 5-20mg Status 0.1-0.2 mg/kg pedi max 4 mg |
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Valium |
Diazepam 5-20mg |
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Cardizem |
Diltiazem 0.25-0.35 mg/kg Calcium channel blocker Afib with RVR |
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Morphine |
2-10mg slow IVP q 5 min opiate (narcotic) analgesic, opioid agonist |
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NTG |
Nitroglycerin 0.4mg Vasodilator |
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ASA |
Aspirin 81mg × 4 = 324mg Antiplatelet aggregator |
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Diphenhydramine |
Benadryl 25-50mg IV 1mg/kg pedi Antihistamine Allergy Vertigo
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Ondansterone |
Zofran 4mg Antiemetic |
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Fentanyl |
1mcg/kg Short acting opioid pain relief |
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Cordarone |
Amiodarone300 mg rapid Vf/pulseless VT 150 mg over 10 min VT with pulse antiarrythmicClass III |
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Acetaminophen |
Tylenol Liquid 15 mg/kg febrile pedi Tablet 500mg |
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Atropine |
0.5 mg max 3mg Bradycardia 0.02 mg/kg pedi max 0.5mg
2mg OP poisoning
Anticholinergic causes sympathetic NS effects decrease Vagal tone Follow up dose 1-2mg q 20-30 min until muscarinic symptoms reverse antagonist of the muscarinic acetylcholine receptors (acetylcholine being the main neurotransmitter used by the parasympathetic nervous system). Atropine dilates the pupils, increases heart rate, and reduces salivation and other secretions. |
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Lidocaine |
1mg/kg 1st dose 2nd dose 1/2 after 5-10 min max 3mg/kg PVC or V-Tach Closed head injury/CVA Up to 50 mg for IO |
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Epi 1:1000 |
0.3 mg IM anaphylaxis 0.01 mg/kg max 0.35mg pedi NT, Adrenal hormone adrenergic receptor agonist Stimulates alpha and beta receptors |
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Ipatropium bromide |
Atrovent 0.5 mg 0.25-0.5 mg pedi anticholinergic bronchodilator |
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D10 |
Pedi 0.5 g/kg slow IVP |
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Pnuemonic for ET Drug Route |
NAVEL 2-2.5x dose +5 vents Narcan Atropine Vasopressin 40 units Epinephrine Lidocaine |
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